Individual
MR. GARY WAYNE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
691 E EMPIRE ST, CORTEZ, CO 81321-2802
(970) 565-7946
(970) 565-9005
Mailing address
27351 ROAD P.7, DOLORES, CO 81323-9411
(970) 570-9634
(970) 565-9005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0004355
CO
Other
Enumeration date
11/06/2006
Last updated
03/01/2016
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